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General NPI Number Information
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NPI Number | 1780247346
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Entity Type | Organization
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Legal Business Name | JUBILANT CARE
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Dates
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Enumeration Date | 04/19/2019
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Last Update Date | 04/19/2019
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Provider Practice Location Address
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Address Line | 3603 PARKMONT ST
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City | MESQUITE
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State | TX
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Zip | 75150-4244
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Country | US
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Telephone | 972-940-0870
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 872051
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City | MESQUITE
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State | TX
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Zip | 75187-2051
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Country | US
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Telephone | 972-940-0870
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Fax |
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | MS. JASMINE ORANGE
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Credential |
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Telephone | 972-940-0870
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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